{"id":11677,"date":"2021-03-24T04:25:16","date_gmt":"2021-03-24T04:25:16","guid":{"rendered":"http:\/\/lavascular.com\/?p=11677"},"modified":"2021-03-24T04:25:16","modified_gmt":"2021-03-24T04:25:16","slug":"trifusion-catheter-placement-technique-and-dictation","status":"publish","type":"post","link":"https:\/\/lavascular.com\/trifusion-catheter-placement-technique-and-dictation\/","title":{"rendered":"Trifusion catheter placement Technique and Dictation"},"content":{"rendered":"

Procedure:\u00a0 Ultrasound & fluoro guided tunneled Trifusion<\/a> catheter\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n

Indication:\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n

Date:\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n

Operators:\u00a0 Drs.\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n

Access Site:\u00a0 name side and vein with ultrasound<\/span><\/p>\n

Medications:\u00a0 \u00a0 \u00a0 mg IV Versed, \u00a0 \u00a0 mcg IV fentanyl, & 1 gram IV Ancef<\/span><\/p>\n

Fluoroscopy time:\u00a0 \u00a0 \u00a0 minutes<\/span><\/p>\n

Catheter:\u00a0 12 French, \u00a0 \u00a0 cm tip to cuff Trifusion\u00a0<\/span><\/p>\n

Complications<\/a>:\u00a0 None immediate.<\/span><\/p>\n

 <\/p>\n

Technique:<\/span><\/p>\n

The risks, benefits, and alternatives to the procedure and sedation were explained to the patient. Written informed consent was obtained.\u00a0 A timeout was performed.<\/span><\/p>\n

The right neck and chest region was prepped and draped in sterile fashion. The region was ultrasonographically evaluated.\u00a0 Using local anesthetic and ultrasound guidance, the right internal jugular vein was punctured with a 21 gauge needle.\u00a0 An image documenting vein patency and needle entry was saved and stored to PACS.\u00a0<\/span><\/p>\n

A 0.018\u201d wire was passed centrally and the needle exchanged for a 5 French transitional dilator. A 0.035\u201d wire was advanced through the dilator and negotiated into the IVC.\u00a0 The skin tract was dilated and a 13 French dilator peel-away combination placed over the wire.<\/span><\/p>\n

The soft tissues caudal and lateral to the sheath entry site were anesthetized with lidocaine with epinephrine. A dermatotomy was made and a tunneling tool brought from the dermatotomy to the venotomy. The catheter was brought through the tunnel.<\/span><\/p>\n

During suspended respiration, the catheter was advanced through the peel-away and positioned centrally using fluoroscopy. The peel-away was removed and hemostasis achieved with manual compression.<\/span><\/p>\n

The venotomy was closed with Dermabond and Steri-Strips applied. A single\u00a0 Ethilon suture was placed at the catheter tunnel exit site. An antimicrobial disc and sterile dressing were applied.<\/span><\/p>\n

The catheter was aspirated, flushed, and heparinized per protocol. The procedure was well tolerated, and the patient was discharged in satisfactory condition.<\/span><\/p>\n

 <\/p>\n

Findings:<\/span><\/p>\n

    \n
  1. The \u00a0 \u00a0 vein is ultrasonographically patent and normal. Vein patency and needle entry were stored to PACS.<\/span><\/li>\n
  2. The newly placed catheter has a smooth course with the tip terminating in the right atrium.<\/span><\/li>\n
  3. additional findings on images.<\/span><\/li>\n<\/ol>\n

     <\/p>\n

    Impression:\u00a0<\/span><\/p>\n

    Uneventful image guided placement of \u00a0 \u00a0 tunneled trifusion catheter<\/a> as described.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

    Procedure:\u00a0 Ultrasound & fluoro guided tunneled Trifusion catheter\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Indication:\u00a0\u00a0\u00a0\u00a0\u00a0 Date:\u00a0\u00a0\u00a0\u00a0\u00a0 Operators:\u00a0 Drs.\u00a0\u00a0\u00a0\u00a0 Access Site:\u00a0 name side and vein with ultrasound Medications:\u00a0 \u00a0 \u00a0 mg IV […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"jetpack_post_was_ever_published":false,"_ti_tpc_template_sync":false,"_ti_tpc_template_id":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[32],"tags":[],"jetpack_publicize_connections":[],"yoast_head":"\nTrifusion catheter placement Technique and Dictation - 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